Drowning After Falling from a Medium-Height Bridge: Multiple Trauma Victims
Autor: | Gildas Ducharne, Emilie Serve, Nicolas Weiss, Audrey Imbert, Jean-Marc Tadié, Emmanuel Guerot, Jean-Luc Diehl, Nicholas Heming, Jean-Yves Fagon |
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Rok vydání: | 2012 |
Předmět: |
Adult
Male Emergency Medical Services medicine.medical_specialty Poison control Suicide Attempted Physical examination Emergency Nursing Occupational safety and health Near Drowning Rivers Intensive care Injury prevention medicine Humans Intensive care medicine Retrospective Studies Medical Audit medicine.diagnostic_test Multiple Trauma business.industry Retrospective cohort study Middle Aged Hypothermia Intensive Care Units Traumatic injury Emergency medicine Emergency Medicine Female France medicine.symptom business |
Zdroj: | Prehospital Emergency Care. 16:356-360 |
ISSN: | 1545-0066 1090-3127 |
Popis: | Drowning following a fall from a bridge can lead to cardiac arrest caused by hypoxia, hypothermia, or severe traumatic injury. Every year patients are brought to our hospital who have nearly drowned in the local river after a jump from a bridge (approximate height 16-22 meters). We report traumatic injuries in patients admitted to our hospital for out-of-hospital cardiac arrest due to drowning.We retrospectively reviewed the charts of all patients admitted to the intensive care units of our hospital for out-of-hospital cardiac arrest due to drowning after a jump from a bridge in the Seine River between 2002 and 2010. All clinical or radiologic evidence of trauma was recorded.A total of 37 patients where admitted to our hospital for out-of-hospital cardiac arrest due to drowning. Fourteen patients had radiologic examinations. Five of these examinations showed evidence of severe trauma. In one case, clinical examination showed evidence of severe peripheral neurologic trauma. Seven of these patients (19%) were discharged from the hospital alive.Patients found nearly drowned in a river spanned by a medium-height bridge should undergo spinal immobilization and complete radiologic examination as soon as possible. |
Databáze: | OpenAIRE |
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